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From Cradle to Grave? The Lasting Impact of Childhood Health and Circumstance

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Author Info
Anne Case
Angela Fertig
Christina Paxson

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Abstract

We quantify the lasting effects of childhood health and economic circumstances on adult health and earnings, using data from a birth cohort that has been followed from birth into middle age. We find, controlling for parents' incomes, educations and social status, that children who experience poor health have significantly lower educational attainment, and significantly poorer health and lower earnings on average as adults. Childhood factors appear to operate largely through their effects on educational attainment and initial adult health. Taken together with earlier findings that poorer children enter adulthood in worse health and with less education than wealthier children, these results indicate that a key determinant of health in adulthood is economic status in childhood rather than economic status in adulthood. Overall, our findings suggest more attention be paid to health as a potential mechanism through which intergenerational transmission of poverty takes place: cohort members born into poorer families experienced poorer childhood health, lower investments in human capital and poorer health in early adulthood, all of which are associated with lower earnings in middle age -- the years in which they themselves become parents.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 9788.

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Date of creation: Jun 2003
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Handle: RePEc:nbr:nberwo:9788

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I1 - Health, Education, and Welfare - - Health
D1 - Microeconomics - - Household Behavior

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References listed on IDEAS
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  1. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December. [Downloadable!]
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  2. Janet Currie & Mark Stabile, 2002. "Socioeconomic Status and Health: Why is the Relationship Stronger for Older Children?," NBER Working Papers 9098, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Anne Case, 2001. "Does Money Protect Health Status? Evidence from South African Pensions," NBER Working Papers 8495, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  4. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring. [Downloadable!] (restricted)
  5. Anne Case & Angus Deaton, 2002. "Consumption, health, gender and poverty," Working Papers 261, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing.. [Downloadable!]
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  6. Janet Currie & Rosemary Hyson, 1999. "Is the Impact of Health Shocks Cushioned by Socioeconomic Status? The Case of Low Birthweight," American Economic Review, American Economic Association, vol. 89(2), pages 245-250, May. [Downloadable!] (restricted)
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  7. Deaton, A. & Grosh, M., 1998. "Consumption," Papers 191, Princeton, Woodrow Wilson School - Development Studies.
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(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Maarten Lindeboom & France Portrait & Gerard J. van den Berg, 2003. "Individual Mortality and Macro-Economic Conditions from Birth to Death," Tinbergen Institute Discussion Papers 03-072/3, Tinbergen Institute, revised 14 Oct 2003. [Downloadable!]
  2. Jens Ludwig & Douglas L. Miller, 2005. "Does Head Start Improve Children's Life Chances? Evidence from a Regression Discontinuity Design," NBER Working Papers 11702, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  3. Komlos, John & Baur, Marieluise, 2003. "From the Tallest to (One of) the Fattest: The Enigmatic Fate of the American Population in the 20th Century," Discussion Papers in Economics 76, University of Munich, Department of Economics. [Downloadable!]
    Other versions:
  4. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2003. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height," PIER Working Paper Archive 03-036, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania. [Downloadable!]
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  5. Ana Llena-Nozal & Maarten Lindeboom & France Portrait, 2004. "The effect of work on mental health: does occupation matter?," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1045-1062. [Downloadable!]
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  6. Mayer-Foulkes, David, 2007. "Globalization and the Human Development Trap," Working Papers UNU-WIDER Research Paper , World Institute for Development Economic Research (UNU-WIDER). [Downloadable!]
  7. Oded Galor & David Mayer-Foulkes, 2004. "Food for Thought: Basic Needs and Persistent Educational Inequality," GE, Growth, Math methods 0410002, EconWPA. [Downloadable!]
  8. Eugene Choo & Michael Denny, 2006. "Wearing Out -- The Decline in Health," Working Papers tecipa-258, University of Toronto, Department of Economics. [Downloadable!]
  9. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2001. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height, Third Version," PIER Working Paper Archive 04-013, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 05 Jan 2004. [Downloadable!]
  10. Gerard J. van den Berg & Maarten Lindeboom & Marta López, 2006. "Inequality in Individual Mortality and Economic Conditions Earlier in Life," IZA Discussion Papers 2425, Institute for the Study of Labor (IZA). [Downloadable!]
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  11. David Mayer Foulkes, 2005. "Institutions and Long-Term Development Policy," Documentos de Trabajo 9602, CIDE, Division de Economia. [Downloadable!]
  12. Maarten Lindeboom & France Portrait & Gerard J. van den Berg, 2003. "Individual Mortality and Macro Economic Conditions from Birth to Death," CEIS Research Paper 42, Tor Vergata University, CEIS. [Downloadable!]
    Other versions:
  13. MacInnis, Bo, 2004. "Pesticides And Child Health: Evidence From Hispanic Children In The U.S," 2004 Annual meeting, August 1-4, Denver, CO 20184, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association). [Downloadable!]
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